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MHRA Approves World's First Lower-Carbon Asthma Inhalers for UK Patients

The MHRA has today approved groundbreaking lower-carbon beclometasone inhalers, marking a global first in sustainable asthma treatment. These new versions, using a next-generation propellant, will be available in the UK later this year.

  • MHRA approves new versions of Clenil Modulite 100mcg and 200mcg inhalers.
  • These are the world's first pressurised metered-dose inhalers (pMDI) to use the lower-carbon propellant HFA-152a.
  • The active ingredient, beclometasone dipropionate, remains unchanged, offering the same established treatment.
  • The new inhalers are expected to be available in the UK later in 2026, with current versions still available.
  • This innovation aims to combine effective patient care with environmental sustainability.

The UK is set to become a leader in reducing the environmental impact of asthma treatments with the approval of lower-carbon inhalers for millions of patients. The Medicines and Healthcare products Regulatory Agency (MHRA) has given its green light to new versions of the Clenil Modulite 100 micrograms and 200 micrograms inhalers, which contain beclometasone dipropionate – a corticosteroid that helps reduce airway inflammation and prevent asthma symptoms.

These devices are prescribed for the ongoing management of asthma in both adults and children across the UK. This significant announcement marks a global first, as these are the initial pressurised metered-dose inhalers (pMDI) worldwide to receive authorisation for using the next-generation propellant, HFA-152a. This innovative propellant is designed to reduce the environmental impact of the inhalers while ensuring the active medicine is delivered effectively.

The MHRA's decision is underpinned by robust evidence demonstrating that the new formulations perform comparably to the existing authorised products. This ensures that the high standards of quality, safety, and clinical benefit that patients expect are maintained. Julian Beach, MHRA Executive Director of Healthcare Quality and Access, highlighted the importance of this approval, stating that it demonstrates how innovation can support both patient care and environmental sustainability.

Asthma is a prevalent long-term respiratory condition affecting millions in the UK, characterised by symptoms such as wheezing, coughing, chest tightness, and shortness of breath. According to NHS data, around 5.4 million people in the UK are currently receiving treatment for asthma, including 1.1 million children. Inhalers like Clenil Modulite are crucial for managing the condition and preventing severe exacerbations.

The new, lower-carbon versions of the inhalers are anticipated to become available in the UK later in 2026. Until then, current versions of Clenil Modulite will continue to be supplied to patients. As with all medicines, the MHRA will continue to closely monitor the safety and effectiveness of these new inhalers. Patients experiencing any suspected side effects should consult their doctor, pharmacist, or nurse, and report them via the Yellow Card scheme.

Why this matters: This development is crucial for UK asthma patients, offering a more environmentally sustainable treatment option without compromising efficacy. It represents a step forward in green healthcare, aligning patient care with broader environmental goals.

What this means for you: What this means for you: If you or a loved one uses a beclometasone inhaler for asthma, you could soon be prescribed a version with a lower environmental impact. The treatment efficacy remains the same, but the propellant used is greener.

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